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Orthopaedic trauma

Yes, a fracture is the same thing as a broken bone, however, each and every fracture is as unique as the patient who sustains it. While many of the fractures and other injuries sustained by younger patients are managed as sports injuries, traumatic injuries in the very young and the very old require specific experience Read on … !

Injuries and Accidents

We specialise in treatment of trauma of the lower limb (including hip, knee and foot trauma) as well as trauma of the pelvis and upper limb (including hand, elbow and shoulder trauma).

Trauma orthopedics does not only involve treatment of broken bones (fractures) and the old comical image of the patient with all four limbs Read on … !

Knee surgery

The Cape Joint Surgery surgeons are both super-specialist fellowship trained knee surgeons with extensive experience in the diagnosis of adult knee problems as well as knee problems in children. We perform both elective- as well as trauma-related knee surgery. This includes the management of meniscal injuries as well as knee ligament injuries such as anterior Read on … !

Knee problems in adults

Knee problems in adults often arise when the knee joint undergoes a degenerative process due to repetitive wear and tear as the patient ages. Young adults usually injure one- or more of the stabilizing ligaments such as the ACL or the collateral ligaments during traumatic events such as rugby tackles or other twisting injuries at Read on … !

Knee problems in children

With knee problems in children, it is imperative that back-and hip problems are excluded as the cause of referred pain to the knee. Various hip problems commonly cause knee problems and pain in children.

Septic arthritis/osteitis is a potentially devastating condition involving infection of the knee joint or the surrounding spongy bone. A healthy child, Read on … !

Total Knee Replacement

Total knee replacement is indicated in patients with knee arthritis that has not responded sufficiently to conservative treatment with anti-inflammatories and analgesics. Knee replacements are usually performed in older people when stiffness and / or pain significantly affect activities of daily living.

Total knee replacement is a well established operation with good longterm clinical results. Read on … !

Anterior Cruciate Ligament Reconstruction (ACL)

The anterior cruciate ligament is an intra-articular ligament which stabilises the knee joint. It is often torn during physical activity and and this may occur after a rugby tackle or a sidestep. Associated injuries are meniscal tears and bone bruising around the articular surfaces. While not all anterior cruciate ligament tears require surgical management, there Read on … !

Knee Arthroscopy (Keyhole Surgery)

Knee Arthroscopy (Keyhole Surgery) entails placement of a camera through a keyhole incision and performing one of several procedures through keyhole surgery.

The advantages of arthroscopic surgery are to a large degree due to the fact that it is the most minimally invasive type of knee surgery possible. The camera as well as the various Read on … !

Revision Knee Replacement

Revision knee replacement surgery is the term used for the surgery to replace or repair a failed total knee replacement. The caues for failure include aseptic loosening, infection, instability of the knee, and fractures around or near the components. This is specialized surgery that may reqiure specialized equipment and implants.

Infection in a Total knee Read on … !

Subacute Osteitis

Subacute osteitis is a rare condition, which may occur around the hip in young children. This usually results after a bone infection has been partially treated with antibiotics, which were discontinued too early. The diagnosis may not have been made in this case is often when antibiotics were prescribed empirically for a child which was Read on … !

Juvenile Idiopathic Arthritis

Juvenile idiopathic arthritis consists of a spectrum of inflammatory arthropathys which affects children (girls in the early teenage years more often than boys). The patients present with synovitis of various joints (usually a polyarthropathy (more than one joint involved), although initial presentation may be in the form of a monoarthropathy). The wrist-, knee-, and ankle Read on … !

Meniscal Injury

There are two C-shaped cartilage menisci present in the human knee. While, even 40 years ago, orthopaedic surgeons did not think twice about removing a torn meniscus completely, this procedure is now frowned upon, based on the fact that we now know that these structures fulfil an essential role in the knee. Their wedge shape Read on … !

Knee Ligament Injury (other than ACL)

With Knee Ligament Injury, the ACL is the most commonly injured single ligament in the knee and also by far and away the ligament which is most often reconstructed, other ligament such as the posterior cruciate ligament (PCL), the medial collateral- (MCL) and lateral collateral ligament (LCL) as well as the posterolateral corner of the Read on … !

Cartilage Regeneration Procedures

Localised, isolated cartilage defects and degeneration with thinning of the cartilage are the first steps in the development of generalised osteoarthritis.

Cartilage regeneration is a panacea in orthopaedics. Should this become consistently possible in patients with degenerative joint disease, cartilage regeneration in combination with realignment procedures around the knee joint would effectively obviate the need Read on … !

Unicompartment Knee Replacement

Unicompartmental knee replacement (UKR) is a surgical technique that has been utilized for more than 20 years. It entails replacing one side of the knee with a synthetic joint. While both surgeons at the Cape Joint Surgery are superspecialist knee replacement surgeons and have extensive experience with UKR, we are well aware that the indications Read on … !

Patellofemoral Joint Problems

Patellofemoral joint problems of unfortunately one of the most difficult conditions in orthopaedics to manage effectively. This is in a large part due to the fact that the patellofemoral articulation (kneecap joint) is one of the most biomechanically disadvantaged joints in the body. Massive shear forces are imparted to the joint during activities of daily Read on … !

Knee extensor mechanism injury

Knee extensor mechanism injury around the knee are severe injuries, which require early treatment in order to prevent shortening of the extensor mechanism which will necessitate reconstructive procedures with less predictable results. Although the clinical diagnosis is fairly straightforward when looked for, it is surprising how often these injuries are initially missed. The reason for Read on … !

Locked Knee

A locked knee, or, Locking of the knee joint may occur when a loose fragment wedges itself between the joint surfaces. Loose fragments which may be found in the knee joint are loose cartilage fragments, cartilage fragments with attached bone (osteochondral fractures) and unstable meniscal tears.

An acutely locked knee is one of the indications Read on … !

Intraarticular Knee Fractures

Intra-articular knee fractures are breaks which extend into the joint surface. Based on the fact that the knee is a weight-bearing joint with sliding and rolling mechanics, these fractures require accurate reduction and stabilisation in order to prevent rapid onset of post-traumatic osteoarthritis. These fractures are investigated with standard x-rays, often a CT-scan is required Read on … !

Knee and lower leg fractures in children

Knee and lower leg fractures in children are common injuries and they usually involve the growth plate cartilage. The risk of blood vessel and nerve injury as well as compartment syndrome (a condition where extreme swelling causes closure of the small blood vessels and results in muscle death) is extremely high in children and emergency Read on … !